Cell function assay w/stim at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$655.20
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$1,092.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$70.73 with UPMC Health Plan vs $1,004.64 with Multiplan — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| UPMC Health Plan | Commercial | $70.73 | ↓ -89% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $85.62 | ↓ -87% |
| UPMC Health Plan | Managed Medicaid | $85.62 | ↓ -87% |
| Aetna | CHIP/Medicaid | $101.19 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $115.44 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $121.17 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $123.17 | ↓ -81% |
| UPMC Health Plan | Managed Medicare | $127.15 | ↓ -81% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $132.65 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $134.27 | ↓ -80% |
| UPMC Health Plan | Partners/Select | $139.37 | ↓ -79% |
| Aetna of PA | Medicare | $142.65 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicare | $146.72 | ↓ -78% |
| United Healthcare | Medicare | $146.73 | ↓ -78% |
| AmeriHealth Caritas | Medicare | $146.73 | ↓ -78% |
| Aetna | Medicare | $149.45 | ↓ -77% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $182.58 | ↓ -72% |
| UPMC Health Plan | CHIP | $242.98 | ↓ -63% |
| Highmark BCBS of PA | Managed Care - Social Mission | $290.23 | ↓ -56% |
| Highmark BCBS of PA | Managed Care | $388.69 | ↓ -41% |
| Aetna | Neighborhood Network | $393.12 | ↓ -40% |
| Aetna | EBR FI | $425.88 | ↓ -35% |
| Aetna | Home Depot Employer Group | $428.06 | ↓ -35% |
| Cigna | Commercial | $436.80 | ↓ -33% |
| Cigna | New Business ASO | $436.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $436.80 | ↓ -33% |
| Aetna | EBR ASO | $436.80 | ↓ -33% |
| InterGroup | PPO | $546.00 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $583.04 | ↓ -11% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $612.45 | ↓ -7% |
| Coventry/First Health | Commercial | $764.40 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $820.20 | ↑ +25% |
| Preferred Healthcare System | PPO | $873.60 | ↑ +33% |
| Humana | Commercial | $928.20 | ↑ +42% |
| Private Health Care Systems | PPO | $928.20 | ↑ +42% |
| Multiplan | PPO | $1,004.64 | ↑ +53% |
Visitor-reported prices
Comments
Cell function assay w/stim at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $741.00 | $67.04 – $180.86 |
| UPMC Passavant-McCandless | Pittsburgh | $760.80 | $67.43 – $182.58 |
| UPMC Presbyterian | Pittsburgh | $913.20 | $71.15 – $182.58 |
| UPMC St. Margaret | Pittsburgh | $717.60 | $67.60 – $182.58 |
| UPMC Altoona | Altoona | $898.80 | $77.84 – $1,198.40 |
| UPMC Bedford | Everett | $913.20 | $49.02 – $1,369.80 |
| UPMC Carlisle | Carlisle | $490.20 | $12.47 – $694.45 |
| UPMC Community Osteopathic | Harrisburg | $490.20 | $77.84 – $694.45 |